Provider Demographics
NPI:1508996752
Name:MARION, WES K (RPH)
Entity Type:Individual
Prefix:
First Name:WES
Middle Name:K
Last Name:MARION
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 BROOKDALE DR
Mailing Address - Street 2:
Mailing Address - City:GLASGOW
Mailing Address - State:KY
Mailing Address - Zip Code:42141-2078
Mailing Address - Country:US
Mailing Address - Phone:270-629-3535
Mailing Address - Fax:
Practice Address - Street 1:139 W PUBLIC SQ
Practice Address - Street 2:
Practice Address - City:GLASGOW
Practice Address - State:KY
Practice Address - Zip Code:42141-2413
Practice Address - Country:US
Practice Address - Phone:270-651-8889
Practice Address - Fax:270-651-8873
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYP00471183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist